Individual
JAMIE FUGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4124 LINDEN AVE STE 100, DAYTON, OH 45432-3018
(937) 522-0961
Mailing address
1101 LEXINGTON AVE, FAIRBORN, OH 45324-3713
(937) 321-7118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
106980
OH
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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